Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.08 / $566.82 / $792.85	Facility		$314.08	$566.82	$792.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.35 / $239.46 / $400.12	Professional		$224.35	$239.46	$400.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.92 / $529.41 / $661.78	Professional		$349.92	$529.41	$661.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $247.66 / $322.50 / $509.88	Professional		$247.66	$322.50	$509.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.52 / $349.92 / $777.93	Facility		$290.52	$349.92	$777.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $291.36 / $1,146.24	Professional		$174.82	$291.36	$1,146.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $349.63 / $534.24 / $846.39	Facility		$349.63	$534.24	$846.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $349.63 / $534.24 / $742.97	Professional		$349.63	$534.24	$742.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $291.36 / $520.08	Professional		$291.36	$291.36	$520.08
United Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $174.82 / $635.16	Professional		$174.82	$174.82	$635.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $291.36 / $291.36	Professional		$291.36	$291.36	$291.36